Participant Info

Membership Number
2065
Salutation
Mrs
First Name
Angela P
Middle/Maiden/Previous
Last Name
Latza
Address 1
2071 Pierce Road
Address 2
City
Waverly Hall
Zip Code
31831
Phone
706-582-3789
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Name/Location of Company Worked
Dates of Work
Type of Work
Rosie Name if Rb or Rv
Is/Was Rosie a member of ARRA?
Contact Name (Deceased Rosie Contact)
Contact Email Address
Contact Phone Number